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Related Experiment Video

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Double prepuncture as a valuable adjunctive technique for complex endovenous ablation.

Scarlett Hao1, Samantha Cox1, Thomas S Monahan2

  • 1Division of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, Md.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|June 19, 2017
PubMed
Summary
This summary is machine-generated.

Double prepuncture is a valuable technique for radiofrequency ablation (RFA) of multiple leg veins or when catheter advancement is difficult. This method ensures successful endovenous ablation in complex venous cases.

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Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures
  • Phlebology

Background:

  • Radiofrequency ablation (RFA) is a common treatment for venous insufficiency.
  • Complex venous anatomy can pose challenges during endovenous ablation.
  • Treating multiple incompetent veins or navigating tortuous pathways requires specialized techniques.

Purpose of the Study:

  • To characterize the double prepuncture technique for radiofrequency ablation (RFA).
  • To report the outcomes of using double prepuncture in complex venous ablation cases.
  • To evaluate the efficacy of double prepuncture for treating multiple or obstructed veins.

Main Methods:

  • The double prepuncture technique was applied in 12 patients (13 limbs) undergoing RFA.
  • Patients had either multiple incompetent veins or experienced catheter advancement failure.
  • Clinical data, operative reports, and follow-up outcomes were retrospectively reviewed.

Main Results:

  • The technique was used on 10 great saphenous, 5 small saphenous, and 5 anterior accessory saphenous veins.
  • Three cases required double prepuncture due to catheter passage obstruction.
  • Ten cases used planned double prepuncture for adjacent incompetent veins, achieving successful closure in all.
  • One patient (7.7%) developed deep venous thrombosis that resolved without complications.

Conclusions:

  • Double prepuncture is an effective adjunct for simultaneous ablation of multiple veins.
  • It facilitates endovenous ablation when catheter passage is impeded by complex anatomy.
  • The technique enhances the efficiency and success of RFA in challenging venous cases.